1 / 10

ActiveHealth Update Gates Lunch & Learn

ActiveHealth Update Gates Lunch & Learn . June 2011. Informed Care Management . Nurse coaching for members with chronic conditions. 2. Important Program Facts. Voluntary Individuals can choose not to participate at any time No charge to member Included in medical benefit Confidential

yanni
Download Presentation

ActiveHealth Update Gates Lunch & Learn

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. ActiveHealth Update Gates Lunch & Learn June 2011

  2. Informed Care Management • Nurse coaching for members with chronic conditions 2

  3. Important Program Facts • Voluntary • Individuals can choose not to participate at any time • No charge to member • Included in medical benefit • Confidential • Information is maintained on ActiveHealth servers • ActiveHealth complies with federal and state laws • Eligible Members- • Gates Members are eligible to participate in Informed Care Management

  4. Informed Care Management Process Identify Engage Actionable Clinical Issues Patient Nurse Chronic Disease Predictive Model • Identify members with chronic conditions, stratify them and prioritize outreach • Identify gaps in care and opportunities for better care • Outreach to members • Provide education and interventions • Refer to other resources as necessary (e.g. dietician) 4 DM – Collect Identify Engage DM - 070809

  5. ICM Conditions – Assessments/Clinical Content Gastrointestinal Vascular Neuro-Geriatric • Gastro Esophageal Reflux Disease • Peptic Ulcer Disease • Ulcerative Colitis/Inflammatory Bowel Disease/Crohn’s • Chronic Hepatitis • Migraines • Parkinson’s Disease • Seizures • Geriatrics • Coronary Artery Disease • Diabetes – Adult & Pediatric • Heart Failure • High Blood Pressure – Adult & Pediatric • High Cholesterol • Peripheral Arterial Disease • Cerebrovascular Disease/Stroke Cancer Pulmonary • Breast Cancer • Prostate Cancer • Colorectal Cancer • Lung Cancer • Lymphoma/Leukemia • Other Cancer • Asthma – Adult & Pediatric • COPD Orthopedic/ Rheumatologic • Chronic Back/Neck Pain • Rheumatoid Arthritis • Osteoporosis • Osteoarthritis Other • Weight Management – Adult & Pediatric • Depression* • Cystic Fibrosis – Adult & Pediatric • HIV • Hypercoagulable State • Sickle Cell Disease – Adult & Pediatric Renal • Chronic Kidney Disease • End Stage Renal Failure * Addressed as a co-morbid condition 5 DM – Condition List - 070909

  6. Targeted Coaching Follow Up • Support for physician visits • Review all medications (prescriptions, OTC, herbal) • Measures of disease control – discuss ways to achieve and maintain targets • Condition guidelines for monitoring and prevention • Lifestyle: prevention, diet, exercise, tobacco, weight • Warning signs and symptoms • Refer to other resources and programs as needed • Personalized plan of care • Targeted action items, including steps toward goals, discussion items for doctor and other follow ups • Summary of topics discussed and educational materials mailed to member • Support for use of MyActiveHealth website Member Experience DM – Member Experience - 0609

  7. MyActiveHealth Website: Health Center • Health coach next appt display • Email with coach • Phone number, with ext. Ability to Chat with a Health Coach Assignments from Health Coach

  8. MyActiveHealth: Health Center, cont. Pre-populated Condition and Lifestyle Factors lists; Ability for member to enter info also Provides information on At-risk Conditions and Co-morbidities (Factors to Consider)

  9. MyActiveHealth: Resource Center • Access to complete library of: • Tools & Trackers • Healthwise Knowledgebase • Videos (Emmi Solutions • Audio (Healthwise) • News (HealthDay) 9 9

  10. ActiveHealth Contact Information for Gates Members • Informed Care Management (Nurse Coaching) • 866-606-6449 • Mon. - Fri. 8:30 am – 11 pm ET • Sat. 9 am - 2 pm ET • MyActiveHealth website (Online Coaching) • www.myactivehealth.net/Gates • Member support: 888-803-7434

More Related